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General NPI Number Information
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NPI Number | 1376799361
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Entity Type | Organization
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Legal Business Name | J. KENT BARTRUFF M.D.P.A.
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 2750 RINGLING BLVD STE 1
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City | SARASOTA
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State | FL
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Zip | 34237-6300
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Country | US
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Telephone | 941-366-2400
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Fax | 941-366-4008
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Provider Business Mailing Address
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Address Line | 2750 RINGLING BLVD STE 1
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City | SARASOTA
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State | FL
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Zip | 34237-6300
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Country | US
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Telephone | 941-366-2400
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Fax | 941-366-4008
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES KENT BARTRUFF
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Credential | M.D.
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Telephone | 941-366-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME13163
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License Number State | FL
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